{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T15:47:01Z","timestamp":1788364021151,"version":"build-2803163510"},"reference-count":54,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014653","name":"Manchester Biomedical Research Centre","doi-asserted-by":"publisher","award":["NIHR203308"],"award-info":[{"award-number":["NIHR203308"]}],"id":[{"id":"10.13039\/100014653","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Neurofibromatosis type 1 (NF1) is an autosomal dominant genetic condition characterized by highly variable presentation, making reproductive decision\u2010making and pregnancy care particularly complex. While previous research has focused largely on clinical outcomes, little is known about how healthcare professionals (HCPs) provide care and communicate with patients during this process. This qualitative study explores the views and experiences of HCPs in providing reproductive and pregnancy\u2010related care for individuals with NF1. Fifteen semi\u2010structured interviews were conducted with genetic counselors, NF specialist nurses, and clinical geneticists in the UK. Reflexive thematic analysis was used to analyze the data. HCPs described supporting informed reproductive choices as central to their role, but this was often complicated by the unpredictable nature of NF1 and varying levels of patient understanding. They emphasized the importance of discussing reproductive choices early, yet found it particularly difficult to offer clear guidance when patients had mild symptoms themselves or drew on diverse family experiences to interpret risk. These challenges were further compounded by systemic barriers, such as limited consultation time, lack of standardized communication tools, and insufficient training. This study highlights the need for more structured and consistent communication practices to support patients with NF1 during reproductive and pregnancy care. A simplified, context\u2010specific visual tool informed by the theoretical domains framework (TDF) may enhance counseling practice.<\/jats:p>","DOI":"10.1002\/jgc4.70137","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T09:46:19Z","timestamp":1762854379000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Healthcare professionals' perspectives on supporting individuals with\n                    <scp>NF1<\/scp>\n                    during pregnancy and decision\u2010making processes"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4613-1359","authenticated-orcid":false,"given":"Gamze","family":"Kaplan","sequence":"first","affiliation":[{"name":"Division of Psychology and Mental Health, School of Health Sciences The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7875-1582","authenticated-orcid":false,"given":"Debbie M.","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Psychology and Mental Health, School of Health Sciences The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5353-786X","authenticated-orcid":false,"given":"Ming Wai","family":"Wan","sequence":"additional","affiliation":[{"name":"Division of Psychology and Mental Health, School of Health Sciences The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2987-8103","authenticated-orcid":false,"given":"Emma","family":"Burkitt\u2010Wright","sequence":"additional","affiliation":[{"name":"Manchester Centre for Genomic Medicine Manchester University NHS Foundation Trust  Manchester UK"},{"name":"Division of Evolution and Genomic Sciences, School of Biological Sciences The University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4472-4583","authenticated-orcid":false,"given":"Shruti","family":"Garg","sequence":"additional","affiliation":[{"name":"Division of Psychology and Mental Health, School of Health Sciences The University of Manchester  Manchester UK"},{"name":"Royal Manchester Children's Hospital Manchester University NHS Foundation Trust  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2023.10.004"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010017\u20100605\u20109"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/jmg.30.7.567"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767430.2020.1734736"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010016\u20100534\u2010z"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/03637750009376495"},{"key":"e_1_2_12_8_1","volume-title":"Successful qualitative research: A practical guide for beginners","author":"Braun V.","year":"2013"},{"key":"e_1_2_12_9_1","doi-asserted-by":"crossref","first-page":"46","DOI":"10.53841\/bpsqmip.2022.1.33.46","article-title":"Thematic analysis: A practical guide","volume":"1","author":"Braun V.","year":"2022","journal-title":"QMiP Bulletin"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2011.10.006"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20107\u201037"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467\u20109566.12401"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.35720"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897\u2010015\u20109829\u20105"},{"key":"e_1_2_12_15_1","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1515\/9783110317459-020","volume-title":"Communication competence","author":"Dean M.","year":"2015"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/2055102920987455"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzab106"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12687\u2010020\u201000457\u20105"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12687\u2010025\u201000811\u20105"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897\u2010012\u20109484\u2010z"},{"key":"e_1_2_12_21_1","volume-title":"GeneReviews","author":"Friedman J. 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